Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Infection Control - May 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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M A y 2 0 1 8 • O U T PA T I E N TS U R G E R Y. N E T • 3 Contents 4 On Point No More Excuses Charles H. Cook, MD, FACS, FCCM 8 5 Ways to Standardize Skin Prepping Practices Applying preps the same way every time elimi- nates the variables that increase infection risk. Brittany Harvey, MSN, MBA, RN, CNOR 15 Are Your Endoscopes Really Clean? Don't bet on it. A disturbing study shows just how difficult the devices are to disinfect. Jim Burger and Cori L. Ofstead, MSPH 23 Patient Warming Stops SSIs Cold Maintaining normothermia promotes wound healing and helps reduce infection risks. E. Patchen Dellinger, MD 30 Scratch Beneath the Surface Audit the effectiveness of OR cleaning by taking a big-picture view of the entire process. JoEllen McBride, PhD | Associate Editor 38 Stop the Spread of MRSA Nasal decolonization is a practical way to lower infection risks. Kendal Gapinski | Contributing Editor 43 A Look Inside Low-Temp Sterilization 6 points to keep in mind about reprocessing heat-sensitive instruments. Kevin Anderson, BSN, RN, CSSM, CRCST, CER 48 Make the Switch to Rigid Sterilization Containers Do away with blue wrap for reprocessing high-volume instrument sets. Shane Ricks, RN, MHS 54 Combat Biofilm Tips to prevent bacteria's slimy fortress from forming on your instruments. Margaret Wasserman, BSN, RN, CNOR 60 Twice the Protection Double gloving prevents injury and infection, so why aren't more surgical teams doing it? Richard Abowitz | Associate Editor 66 Get Reprocessing Right With Every Tool, Every Time Q&A with Weston "Hank" Balch, CRCST, CER, CIS, CHL, instrument care expert and sterile processing podcaster. To Our Readers Every patient who's wheeled into an OR is at risk of being wheeled out with a surgical site infection. This year's Manager's Guide to Infection Control is one of the tools you can use to make sure that doesn't happen. The following pages touch on the best ways to battle back against harmful bacteria, from prepping skin and cleaning surfaces to warming patients and swabbing noses. We hope you use the advice to further the continuing fight against SSIs. Cover design by Ethan Anderson | Photo by Pamela Bevelhymer, RN, BSN, CNOR Infection Control M a y 2 0 1 8 o u t p a t i e n t s u r g e r y . n e t 60

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